Evidence map›Paper›PMID 29184876›Full record

ArticleAnnals of surgical treatment and research2017

Feasibility of sentinel lymph node dissection using Tc-99m phytate in papillary thyroid carcinoma.

Se Hyun Paek, Ka Hee Yi, Su-Jin Kim, June Young Choi, Kyu Eun Lee, Young Joo Park, Do-Joon Park, Keon Wook Kang, June-Key Chung

Abstract read
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Article in Annals of surgical treatment and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. KSNM 60 in General Nuclear Medicine: the Old Dream Comes True.Nuclear medicine and molecular imaging · 2022
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Se Hyun PaekDepartment of Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
Ka Hee YiCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Su-Jin KimCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
June Young ChoiCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Kyu Eun LeeCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Young Joo ParkCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Do-Joon ParkCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Keon Wook KangCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
June-Key ChungCancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVarious methods of sentinel lymph node (SLN) biopsy in thyroid cancer have been introduced. Tc-99m phytate as a radiotracer has been successfully utilized for SLN biopsy in breast, cervix, and endometrial cancer. We assessed the feasibility of SLN dissection using Tc-99m phytate in papillary thyroid carcinoma (PTC).

methodsSeventeen patients with PTC were prospectively enrolled. Ultrasound-guided peritumoral injection of 55.5 MBq Tc-99m phytate in 0.25-mL normal saline was performed. Preoperative single-photon emission-computed tomography (SPECT) and intraoperative gamma-probe were used for SLN detection during operation.

resultsIdentification rate of SLNs was 70.6% (12 of 17) with SPECT, and 88.2% (15 of 17) with gamma-probe. Combined SPECT and gamma-probe had identification rates of 88.2% (15 of 17). Identification rates of SLNs in central LN compartments were 82.4% (14 of 17) and 41.2% (7 of 17) in lateral LN compartments. Overall sensitivity, specificity, positive predictive value, and negative predictive value of the results of SLN biopsy were 91.6%, 100%, 88.4%, and 100%, respectively. Eight patients (47.1%) had metastasis in SLNs; all patients had SLN metastasis in the central compartment and 2 patients had SLN metastasis in both the central and lateral compartments.

conclusionCombined SPECT and gamma-probe could detect SLNs with an 88.2% identification rate in PTC. SLN biopsy using Tc-99m phytate is technically feasible. Further investigation is warranted for clinical application of Tc-99m phytate in PTC.

Indexed as

Gamma-probePapillary thyroid cancerPhytateSentinel lymph node biopsySingle-photon emission-computed tomography

Identifiers

PMID29184876
PMCPMC5694714

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